Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.44 / $2,516.00 / $8,294.00	Facility		$209.44	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.88 / $209.44 / $262.45	Professional		$175.88	$209.44	$262.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $194.54 / $321.63	Professional		$152.13	$194.54	$321.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $219.12 / $822.00	Professional		$196.56	$219.12	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.20 / $320.20 / $320.20	Facility		$320.20	$320.20	$320.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.61 / $252.12 / $444.15	Professional		$189.61	$252.12	$444.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.20 / $280.60 / $331.62	Professional		$217.20	$280.60	$331.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.88 / $259.70 / $389.24	Facility		$190.88	$259.70	$389.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $297.00 / $389.11	Professional		$257.00	$297.00	$389.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $181.84 / $239.01 / $805.00	Facility		$181.84	$239.01	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.60 / $267.68 / $811.65	Professional		$199.60	$267.68	$811.65
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.04 / $253.90 / $420.93	Professional		$165.04	$253.90	$420.93